Please use this identifier to cite or link to this item: https://doi.org/10.1016/j.apmr.2020.10.136
Title: Core Domains for Research on Hospital Inactivity in Acutely Ill Older Adults: A Delphi Consensus Study
Authors: Baldwin, Claire E
Phillips, Anna C
Edney, Sarah M 
Lewis, Lucy K
Keywords: Science & Technology
Life Sciences & Biomedicine
Rehabilitation
Sport Sciences
Acute disease
Consensus
Exercise
Frail elderly
Hospitalization
Outcome assessment
Health care
Patient reported outcome measures
Sedentary behavior
SEDENTARY BEHAVIOR
PHYSICAL-ACTIVITY
MOBILITY
CARE
ACCELEROMETRY
INTERVENTION
INPATIENTS
PROGRAM
ELDERS
FRAIL
Issue Date: 31-Mar-2021
Publisher: W B SAUNDERS CO-ELSEVIER INC
Citation: Baldwin, Claire E, Phillips, Anna C, Edney, Sarah M, Lewis, Lucy K (2021-03-31). Core Domains for Research on Hospital Inactivity in Acutely Ill Older Adults: A Delphi Consensus Study. ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION 102 (4) : 664-674. ScholarBank@NUS Repository. https://doi.org/10.1016/j.apmr.2020.10.136
Abstract: Objective: To identify core domains for research studies of physical activity and sedentary behavior during hospitalization for older adults with an acute medical illness. Design: A 4-Round Delphi consensus process. Round 1 invited responses to open-ended questions to generate items for the core domains research. In rounds 2-4, participants were invited to use a Likert scale (1-9) to rate the importance of each core domain for research studies of physical activity and/or sedentary behavior in hospitalized older adults with an acute medical illness. Setting: Online surveys. Participants: A total of 49 participants were invited to each round (international researchers, clinicians, policy makers and patients). Response rates across rounds 1-4 were 94%, 88%, 83% and 81%, respectively. Interventions: None. Main Outcome Measures: Consensus was defined a priori as ≥70% of respondents rating an item as “critical” (score≥7) and ≤15% of respondents rating an item as “not important” (score≤3). Results: In round 2, a total of 9 of 25 core domains reached consensus agreement (physical functioning, general, role functioning, emotional functioning, global quality of life, hospital, psychiatric, cognitive functioning, carer burden). In round 3, an additional 8 reached consensus (adverse events, perceived health status, musculoskeletal, social functioning, vascular, cardiac, mortality, economic). Round 4 participants provided further review and a final rating of all 17 core domains that met consensus in previous rounds. Four core domains were rated as “critically important” to evaluate: physical functioning, social functioning, emotional functioning, and hospital outcomes. Conclusions: This preliminary work provides international and expert consensus-based core domains for development toward a core-outcome set for research, with the ultimate goal of fostering consistency in outcomes and reporting to accelerate research on effective strategies to address physical activity and/or sedentary behavior in older adults while hospitalized.
Source Title: ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
URI: https://scholarbank.nus.edu.sg/handle/10635/226692
ISSN: 00039993
1532821X
DOI: 10.1016/j.apmr.2020.10.136
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